Abstract
OBJECTIVE: By developing a more nuanced understanding of youth using crisis line services, greater strides can be made in addressing their mental health needs. SafeUT is an app-based mental health crisis service that is offered to nearly all youth living in Utah and provides 24/7 access to licensed clinicians by phone or text. This study characterized youth using a statewide mental health crisis service and identified barriers to care. METHOD: SafeUT users were offered the opportunity to complete a survey regarding demographics, their experiences with mental health services, and self-injurious thoughts and behaviors. RESULTS: A total of 210 youths completed at least part of the survey. More than half of the sample identified as LGBTQ+ (lesbian, gay, bisexual, transgender, queer, and others). Less than half of the sample had received mental health services. Not wanting to talk to a parent/guardian was the most frequently endorsed barrier. In the 2 weeks preceding the survey, 50% of youth engaged in self-injurious behaviors (18% suicide attempts). Following their SafeUT encounter, youth indicated significant reductions in the intensity of their presenting concerns. CONCLUSION: SafeUT appears to be effective in reducing acute concerns. However, youth still receive insufficient mental health support. Addressing barriers is imperative in ensuring that youth receive appropriate mental health care.